Kristin Danielle Rivera, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4040 S 188TH St Ste 300
Seatac, WA 98188-5070

Phone

(206) 816-3253

NPI assigned

May 31, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1780021741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 S 188TH ST STE 300",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981885070",
            "telephone_number": "206-816-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S 188TH ST STE 300",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981885070",
            "telephone_number": "206-816-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Patterson St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031538",
            "country_code": "US",
            "telephone_number": "615-342-4629",
            "fax_number": "615-342-3349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KRISTIN",
        "middle_name": "DANIELLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5614",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Ramon
• Faten Rashid
• Veronica D Rasmussen, LICSW
• Stacy Lee Reunanen, RDH
• Karl Rafe Riecken, DO
• Jeffrey Lee Rogge, DC
• Jennifer Roth, RD
• Christina Marie Rothermel, LMP
• Rondie Rueckert, OTR/L
• Stephanie A Ruiz

• Clinical Social Worker in Seatac, WA
• Providers in Seatac, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.